WILMINGTON DENTAL ASSOCIATES
NPI: 1497854194
· WILMINGTON, DE 19806
· General Practice Dentistry
· NPI assigned 09/21/2006
$274K
Total Medicaid Paid
Provider Details
| Authorized Official | LENZ, JOHN (DENTIST) |
| NPI Enumeration Date | 09/21/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
124 |
$13K |
| 2022 |
499 |
$66K |
| 2023 |
1,146 |
$143K |
| 2024 |
516 |
$53K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
685 |
356 |
$158K |
| D1110 |
Prophylaxis - adult |
587 |
556 |
$41K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
130 |
83 |
$25K |
| D0274 |
Bitewings - four radiographic images |
428 |
406 |
$21K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
197 |
187 |
$13K |
| D0330 |
Panoramic radiographic image |
160 |
149 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
98 |
92 |
$4K |